# EPMG DOWNRIVER, PLLC (NURSE PRACTITIONERS)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073885695
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (954) 838-2371

## Contact information

- **Practice address:** 2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
- **Practice address phone:** (734) 246-6000
- **Practice address fax:** (734) 995-2913
- **Mailing address:** 2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
- **Mailing address phone:** (954) 838-2371
- **Mailing address fax:** (734) 995-2913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 09/12/2019